Health and safety hazards associated with farming.

1. Farming is a dangerous occupation with many potential physical, chemical, and biological hazards. Hazards include noise, machinery, motor vehicles, electricity, temperature extremes, pressurized hydraulic fluids, grain storage facilities, hand and power tools, repetitive motion, vibration, chemicals, dusts, gases, and infectious agents. 2. Psychosocial factors related to agriculture include stress, economic considerations, poor access to health care, and injuries to minors who begin working at a young age. 3. Many who farm also work at other jobs. Farm related illnesses and injuries can be costly to non-farm employers in terms of lost work time, medical insurance, and life insurance. 4. Occupational health nurses can promote agricultural occupational health through companies that employ farmers and through community organizations, thereby contributing to a better understanding of farm related hazards and developing strategies for reducing these hazards.

The Occupational Health Nurses in Agricultural Communities program: identifying and preventing agriculturally related illnesses and injuries.

1. The Occupational Health Nurses in Agricultural Communities (OHNAC) program is a national surveillance program to identify and prevent agriculturally related illnesses and injuries. Locally based nurses work closely with health departments, hospitals, physicians, and other providers to identify and report sentinel health events. 2. Through OHNAC, sentinel health events are assessed and evaluated to identify occupational risk factors that may be applicable to the larger community of agricultural workers. This information is then disseminated nationally, locally, and to the individual workers. 3. The surveillance and investigation information is used to develop programs to prevent agricultural illnesses and injuries. The use of case based surveillance and subsequent data driven interventions has broad applicability for occupational health nurses in other industrial sectors.